High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit
Introduction: Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electron...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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World Health Organization Regional Office for the Western Pacific
2017-09-01
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| Series: | Western Pacific Surveillance and Response |
| Subjects: | |
| Online Access: | http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/510/780 |
| _version_ | 1819175233782808576 |
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| author | Jocelyn Chan Tuya Mungun Narangerel Dorj Baigal Volody Uranjargal Chuluundorj Enkhtuya Munkhbat Gerelmaa Danzan Cattram D Nguyen Sophie La Vincente Fiona Russell |
| author_facet | Jocelyn Chan Tuya Mungun Narangerel Dorj Baigal Volody Uranjargal Chuluundorj Enkhtuya Munkhbat Gerelmaa Danzan Cattram D Nguyen Sophie La Vincente Fiona Russell |
| author_sort | Jocelyn Chan |
| collection | DOAJ |
| description | Introduction: Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electronic registers in low- and middle-income countries such as Mongolia. We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records.
Methods: We conducted a cross-sectional record review among children 2–23 months of age vaccinated at immunization clinics within the two districts. We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register.
Results: Both completeness (90.9%; 95% CI: 88.4–93.4) and accuracy (93.3%; 95% CI: 84.1–97.4) of the electronic immunization register were high when compared to written records. The increase in completeness over time indicated a delay in data entry.
Conclusion: Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings. |
| first_indexed | 2024-12-22T20:51:37Z |
| format | Article |
| id | doaj.art-84b2b9eb71114bbdbd8cea26919fcbee |
| institution | Directory Open Access Journal |
| issn | 2094-7321 2094-7313 |
| language | English |
| last_indexed | 2024-12-22T20:51:37Z |
| publishDate | 2017-09-01 |
| publisher | World Health Organization Regional Office for the Western Pacific |
| record_format | Article |
| series | Western Pacific Surveillance and Response |
| spelling | doaj.art-84b2b9eb71114bbdbd8cea26919fcbee2022-12-21T18:13:05ZengWorld Health Organization Regional Office for the Western PacificWestern Pacific Surveillance and Response2094-73212094-73132017-09-018351010.5365/wpsar.2016.7.4.006High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based auditJocelyn Chan0Tuya Mungun1Narangerel Dorj2Baigal Volody3Uranjargal Chuluundorj4Enkhtuya Munkhbat5Gerelmaa Danzan6Cattram D Nguyen7Sophie La Vincente8Fiona Russell9Pneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Centre for International Child Health, Murdoch Childrens Research Institute, Parkville, AustraliaPneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; National Center for Communicable Diseases, Ministry of Health, Ulaanbaatar, MongoliaDivision for Surveillance and Emergency Operations, Ministry of Health, Ulaanbaatar, MongoliaImmunization unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, MongoliaImmunization unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, MongoliaImmunization unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, MongoliaImmunization unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, MongoliaPneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Ausralia; Clinical Epidemiology & Biostatistics Unit, Murdoch Childrens Research Institute, Parkville, AustraliaPneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, AustraliaPneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Centre for International Child Health, Murdoch Childrens Research Institute, Parkville, AustraliaIntroduction: Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electronic registers in low- and middle-income countries such as Mongolia. We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records. Methods: We conducted a cross-sectional record review among children 2–23 months of age vaccinated at immunization clinics within the two districts. We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register. Results: Both completeness (90.9%; 95% CI: 88.4–93.4) and accuracy (93.3%; 95% CI: 84.1–97.4) of the electronic immunization register were high when compared to written records. The increase in completeness over time indicated a delay in data entry. Conclusion: Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings.http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/510/780vaccination coveragequality assuranceelectronic immunisation registerspublic healthadministrative data |
| spellingShingle | Jocelyn Chan Tuya Mungun Narangerel Dorj Baigal Volody Uranjargal Chuluundorj Enkhtuya Munkhbat Gerelmaa Danzan Cattram D Nguyen Sophie La Vincente Fiona Russell High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit Western Pacific Surveillance and Response vaccination coverage quality assurance electronic immunisation registers public health administrative data |
| title | High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit |
| title_full | High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit |
| title_fullStr | High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit |
| title_full_unstemmed | High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit |
| title_short | High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit |
| title_sort | high agreement between the new mongolian electronic immunization register and written immunization records a health centre based audit |
| topic | vaccination coverage quality assurance electronic immunisation registers public health administrative data |
| url | http://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/510/780 |
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